RMA Form 

(Return Materials Authorization)

Please fill out the form below. Upon submission, Applied Electronics will reply via email or phone.

*= Required Fields

imageClick here for Service Request Form
* First Name
* Last Name
* Email Address
* Company
* Phone
Fax
Address
City
Province/State
Postal Code/Zip
Alternate Contact Name
Alternate Phone


Equipment For Service
* Manufacturer
Model No
Serial No
Description

Fault Report
Description
Warranty
Yes
No
Not Sure
Date of Purchase
Invoice No
Please Respond via
Email
Phone

 

*Minimum evaluation fee of $120.00 per hour for non-warranty repairs.

For more information, please email us at AELinfo@appliedelectronics.com

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